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Validity of categories related to gender identity in ICD-11 and DSM-5 among transgender individuals who seek gender-affirming medical procedures

dc.creatorRobles, Rebecaes_ES
dc.creatorKeeley, Jared W.es_ES
dc.creatorVega-Ramírez, Hamides_ES
dc.creatorCruz-Islas, Jeremyes_ES
dc.creatorRodríguez-Pérez, Victores_ES
dc.creatorSharan, Pratapes_ES
dc.creatorPurnima, Shivanies_ES
dc.creatorRao, Ravindraes_ES
dc.creatorRodrigues-Lobato, María Inéses_ES
dc.creatorSoll, Biancaes_ES
dc.creatorAskevis-Leherpeu, Francoisees_ES
dc.creatorRoelandt, Jean-Luces_ES
dc.creatorCampbell, Meganes_ES
dc.creatorGrobler, Gerhardes_ES
dc.creatorStein, Dan J.es_ES
dc.creatorKhoury, Brigittees_ES
dc.creatorKhoury, Joseph Eles_ES
dc.creatorFresán, Anaes_ES
dc.creatorMedina-Mora, María-Elenaes_ES
dc.creatorReed, Geoffrey M.es_ES
dc.date2022
dc.date.accessioned2024-08-22T18:13:15Z
dc.date.available2024-08-22T18:13:15Z
dc.date.issued2022
dc.identifierJC05DIEP22es_ES
dc.identifier.issn1697-2600
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/8035
dc.identifier.urihttps://doi.org/10.1016/j.ijchp.2021.100281
dc.descriptionBackground/objective: The most recent versions of the two main mental disorders classifications-the World Health Organization's ICD-11 and the American Psychiatric Association's DSM-5-differ substantially in their diagnostic categories related to transgender identity. ICD-11 gender incongruence (GI), in contrast to DSM-5 gender dysphoria (GD), is explicitly not a mental disorder; neither distress nor dysfunction is a required feature. The objective was compared ICD-11 and DSM-5 diagnostic requirements in terms of their sensitivity, specificity, discriminability and ability to predict the use of gender-affirming medical procedures. Method: A total of 649 of transgender adults in six countries completed a retrospective structured interview. Results: Using ROC analysis, sensitivity of the diagnostic requirements was equivalent for both systems, but ICD-11 showed greater specificity than DSM-5. Regression analyses indicated that history of hormones and/or surgery was predicted by variables that are an intrinsic aspect of GI/GD more than by distress and dysfunction. IRT analyses showed that the ICD-11 diagnostic formulation was more parsimonious and contained more information about caseness than the DSM-5 model. Conclusions: This study supports the ICD-11 position that GI/GD is not a mental disorder; additional diagnostic requirements of distress and/or dysfunction in DSM-5 reduce the predictive power of the diagnostic model.es_ES
dc.formatPDFes_ES
dc.language.isoenges_ES
dc.publisherAsociación Española de Psicología Conductuales_ES
dc.relation22(1):100281
dc.rightsAcceso Cerradoes_ES
dc.titleValidity of categories related to gender identity in ICD-11 and DSM-5 among transgender individuals who seek gender-affirming medical procedureses_ES
dc.typeArtículoes_ES
dc.contributor.affiliationRamón de la Fuente Muñiz National Institute of Psychiatry, Mexico
dc.contributor.emailreberobles@imp.edu.mx (R. Robles)
dc.relation.jnabreviadoINT J CLIN HEALTH PSYCHOL
dc.relation.journalInternational Journal of Clinical and Health Psychology
dc.identifier.placeEspaña
dc.date.published2022
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
dc.identifier.eissn2174-0852
dc.identifier.doi10.1016/j.ijchp.2021.100281
dc.subject.kwICD-11
dc.subject.kwDSM-5
dc.subject.kwGender incongruence
dc.subject.kwGender dysphoria
dc.subject.kwEx post facto study


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